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iiiiiiiiiiiiiiiiiiiiiiimiiiiiiiiiiiiiiiiiiiillilI <br /> CITY OF ORONO * 2 0 1 4 — 0 1 2 9 1 <br /> 2750 KELLEY PARKWAY DATE ISSUED: 03/31/2015 <br /> ORONO,MN 55356- <br /> (952)249-4600 FAX: (952)249-4616 <br /> ADDRESS 200 TRUFFULA TR <br /> PIN 33-118-23-44-0039 <br /> LEGAL DESC MEADOW WOOD POND <br /> LOT 005 BLOCK 001 <br /> PERMIT TYPE ACCESSORY STRUCTURE <br /> PROPERTY TYPE RESIDENTIAL <br /> CONSTRUCTION TYPE SHED> 120 SQ FT <br /> ACTIVITY 328-OTHER NONRESIDENTIAL BUILDINGS <br /> VALUATION $ 5,000.00 <br /> NOTE: SEPARATE PERMITS REQUIRED:ELECTRICAL(STATE) <br /> STORAGE SHED <br /> APPLICANT PERMIT FEE SCHEDULE 118.00 <br /> STATE SURCHARGE(VALUATION) 2.50 <br /> ADAMS,DONALD&SHEILA TOTAL 120.50 <br /> 200 TRUFFULA TR Payment(s) <br /> LONG LAKE,MN 55356- CREDIT CARD 5744 120.50 <br /> OWNER <br /> ADAMS,DONALD&SHEILA <br /> 200 TRUFFULA TR <br /> LONG LAKE,MN 55356- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work for which this permit is issued shall be performed according to <br /> the approved plans and specifications,applicable City approvals,and the <br /> State Building Code. This permit is for only the work described and does <br /> not grant permission for additional or related work which requires separate <br /> permits. All provisions of laws and ordinances governing this type of work <br /> shall be compied with whether or not specified herein.This permit will <br /> expire and become null and void if construction authorized is not <br /> commenced within 180 days of the date of issuance,or if construction is <br /> suspended for a period of 180 days at any time after work has commenced. <br /> The applicant is responsible for assuring all required inspections are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. <br /> Applicant Permitee Signature Date Issued By Signature Date <br />